A Case of Acute Appendicitis Caused by the Punctured Fish Bone

Kazuo Tsuno, Masanobu Maruyama, Tatsuo Yamazaki, Nobuji Ogawa, Ichirouta Namiki and Toshitaka Furukawa

Department of Surgery, Maruyama Memorial General Hospital

We treated a 59-year-old man for acute appendictis caused by a fish bone puncture. The man had reported pain in the right lower quadrant of the abdomen. Based on the abdominal finding and abdominal CT examination, we suspected acute appendicitis involving a fish bone and initiated surgery. We found a fish bone at the tip of appendix within the serosa associated with focal peritonitis. Few reports have reported caecal abscess associated with inflammatory granuloma due to appendix perforation. It is difficult, however, to determine how the fish bone came to cause the inflammation. Our case is of interest in the progression of initial pathological change in the appendix.

Key words
fish bone, appendicitis clinical feature

Reprint requests
Kazuo Tsuno Department of Surgery, Maruyama Memorial General Hospital 2-10-5 Honcho, Iwatsuki city, 339-8521 JAPAN

Accepted
October 31, 2000

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